左前庭尾闭塞:英国心血管干预学会和英国心律学会立场声明
Tim R Betts1, Patrick A Calvert2, Lee N Graham3
1Cardiac Electrophysiology, Oxford University Hospitals NHS Foundation Trust Oxford, UK.
Arrhythmia & electrophysiology review
|March 28, 2024
概括
穿皮左心房尾闭塞为心房的患者提供了一种降低中风风险的策略,这些患者不适合抗凝药. 本声明详细说明了该程序的证据,指示和最佳实践.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 干预程序 干预程序
背景情况:
- 心房动 (AF) 具有显著的中风风险,特别是对抗凝血药物禁用的患者.
- 穿皮左心房附属体 (LAA) 封闭是一种减少血栓栓塞事件的替代策略.
- 该程序获得了监管部门的批准,并得到了国际试验数据的支持.
研究的目的:
- 总结支持LAA封闭的证据.
- 概述目前对LAA封闭的临床适用情况.
- 为LAA封闭程序提供最佳实践的共识.
主要方法:
- 国际随机试验和注册表的审查.
- 国家卫生和护理卓越研究所 (NICE) 和英格兰NHS指南的分析.
- 基于共识的建议,用于程序规划,执行和后续行动.
主要成果:
- LAA封闭是减少精选AF患者中风风险的一种既定程序.
- 有证据支持其使用,特别是对于那些不能容忍抗凝药的人来说.
- 为了安全有效地实施它,已有指导方针.
结论:
- 在特定的心房动患者群体中,LAA封闭是预防中风的可行选择.
- 在术前规划,植入和术后护理方面,必须采用标准化的方法.
- 建议建立程序量标准和多学科团队参与,以获得最佳结果.
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